Provider Demographics
NPI:1013023415
Name:WANG, AMANA (DC)
Entity Type:Individual
Prefix:DR
First Name:AMANA
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 KINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3113
Mailing Address - Country:US
Mailing Address - Phone:973-462-5731
Mailing Address - Fax:973-884-8610
Practice Address - Street 1:47 LEGION DRIVE.
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621
Practice Address - Country:US
Practice Address - Phone:972-346-2573
Practice Address - Fax:973-884-8610
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9484111N00000X
NJ38MC00669200111N00000X
NYX011579111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor